998 results match your criteria isolated left-sided

Isolated cerebral mucormycosis masquerading as a tumor in an immunocompetent patient.

Autops Case Rep 2021 Jan 28;11:e2020233. Epub 2021 Jan 28.

Swami Rama Himalayan University, Himalayan Institute of Medical Sciences, Department of Neurosurgery, Dehradun, Uttarakhand, India.

Mucormycosis is an opportunistic fungal disease that commonly presents as cutaneous or rhinocerebral infections associated with immunocompromised states. It may exceptionally present as isolated involvement of the brain with a varied clinical presentation, which may be difficult to diagnose early, leading to increased mortality. Herein, we report the case of a 42-year-old immunocompetent female with left-sided limb weakness and a history of recurrent vomiting and headache for the last two years. Read More

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January 2021

Mid-term Results of Isolated Tricuspid Valve Replacement - Implications for Clinical Decision Making.

Ann Thorac Surg 2021 Apr 25. Epub 2021 Apr 25.

Department of Cardiothoracic surgery, Carmel Medical Center, Haifa, Israel.

Background: Isolated tricuspid valve replacement (TVR) is considered high risk surgery. We investigated our outcomes of TVR with the aim of identifying variables that may influence morbidity and mortality of isolated TVR compared to combined TVR and left sided valve surgery.

Methods: Retrospective analysis of patients undergoing TVR surgery. Read More

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Thoracoscopic repair of congenital diaphragmatic hernia in neonates: findings of a multicenter study in Japan.

Surg Today 2021 Apr 20. Epub 2021 Apr 20.

Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Purpose: We compared the efficacy of thoracoscopic repair (TR) with that of open repair (OR) for neonatal congenital diaphragmatic hernia (CDH).

Methods: The subjects of this multicenter retrospective cohort study were 524 infants with left-sided isolated CDH, diagnosed prenatally, and treated at one of 15 participating hospitals in Japan between 2006 and 2018. The outcomes of infants who underwent TR and those who underwent OR were compared, applying propensity score matching. Read More

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Interocular Grouping in Perceptual Rivalry Localized with fMRI.

Brain Topogr 2021 May 19;34(3):323-336. Epub 2021 Apr 19.

Department of Ophthalmology, McGill University, Montreal, QC, H9G 1A4, Canada.

Bistable perception refers to a broad class of dynamically alternating visual illusions that result from ambiguous images. These illusions provide a powerful method to study the mechanisms that determine how visual input is integrated over space and time. Binocular rivalry occurs when subjects view different images in each eye, and a similar experience called stimulus rivalry occurs even when the left and right images are exchanged at a fast rate. Read More

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Preoperative Right Ventricular Free-Wall Longitudinal Strain as a Prognosticator in Isolated Surgery for Severe Functional Tricuspid Regurgitation.

J Am Heart Assoc 2021 May 17;10(9):e019856. Epub 2021 Apr 17.

From the Cardiovascular Center Seoul National University Hospital Seoul Republic of Korea.

Background Severe tricuspid regurgitation (TR) should be intervened before the development of irreversible right ventricular (RV) dysfunction. However, current guidelines do not provide criterion related to RV systolic function to guide optimal surgical timing. We investigated the prognostic value of RV longitudinal strain in patients undergoing isolated surgery for severe functional TR. Read More

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Pulmonary vasodilator use in continuous-flow left ventricular assist device management.

Ann Transl Med 2021 Mar;9(6):522

Division of Cardiovascular Disease, Department of Medicine, University of Alabama-Birmingham School of Medicine, Birmingham, AL, USA.

Pulmonary hypertension (PH) due to left heart disease is the most common etiology for PH. PH in patients with heart failure with reduced fraction (HFrEF) is associated with reduced functional capacity and increased mortality. PH-HFrEF can be isolated post-capillary or combined pre- and post-capillary PH. Read More

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The management of colonic polyps in children: a 13-year retrospective study.

Eur J Pediatr 2021 Mar 16. Epub 2021 Mar 16.

Division of Digestive Endoscopy, University of Messina, Messina, Italy.

The aim of this study was to describe the frequency, major symptoms, and characteristics of colonic polyps in a cohort of children. A retrospective chart review of patients aged ≤ 18 years who were diagnosed with colonic polyp(s) from 2006 to 2019 in a tertiary hospital was included. Data collected included demographics, clinical presentation, interval of time between the onset of symptoms and the endoscopic diagnosis of colonic polyps, family history, characteristics of the polyp, and associated lesions. Read More

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Acoustic neuroma presenting as a hypnic headache.

BMJ Case Rep 2021 Mar 9;14(3). Epub 2021 Mar 9.

Neurology, The London Clinic, London, UK.

Hypnic headache (HH) is a rare, primary headache syndrome that invariably occurs during sleep and wakes the patient. Acoustic neuroma (AN) is a benign tumour that uncommonly presents with isolated headache. Here, we describe a patient with AN that presented with an HH-like syndrome. Read More

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A Rare Presentation of Isolated Right Colon Ischemia: The Mass-Forming Variant.

Cureus 2021 Jan 31;13(1):e13028. Epub 2021 Jan 31.

Pathology, United Health Services, Johnson City, USA.

Ischemic colitis (IC), the most common gastrointestinal ischemia, remains an enigmatic disease with a wide array of pathogenic mechanisms and injuries along with variable outcomes. Among this group, isolated right colon ischemia (IRCI) appears to be a distinct entity, with its own pathophysiology, clinical presentation, and higher morbidity and mortality compared to left-sided colitis. IRCI is the most common site of mass-forming ischemic colitis. Read More

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January 2021

Stroke Patients Without COVID-19 Symptoms: Is There a Need to Screen?

Neurologist 2021 Mar 4;26(2):73-74. Epub 2021 Mar 4.

Department of Neurology, National Neuroscience Institute, Singapore General Hospital.

Introduction: COVID-19 patients who present with strokes but without typical COVID-19 symptoms have been described in small numbers. Despite the paucity of fever and respiratory symptoms, they remain capable of infecting others. The patient we discuss herein highlights the important issues of strokes as presenting events of COVID-19 infections, and how testing for COVID-19 in stroke patients, even when asymptomatic for COVID-19, can play an important role in infection control, clinical management and outcomes amidst this global pandemic. Read More

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Survival benefit from a second arterial conduit to the circumflex circulation persists in elderly after coronary artery bypass surgery.

Asian Cardiovasc Thorac Ann 2021 Feb 22:218492321997077. Epub 2021 Feb 22.

Division of Cardiac Surgery, University Hospital Southampton, Hampshire, UK.

Background: This retrospective propensity matched study investigated the impact of age on the survival benefit from a second arterial conduit to the left-sided circulation.

Methods: Data for isolated coronary artery bypass surgery were collected from October 2004 to March 2014. All patients with an internal mammary artery graft to left anterior descending artery and additional arterial or venous graft to the circumflex circulation were included. Read More

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February 2021

Minimally invasive accessory splenectomy for recurrent gastric variceal bleeding due to left-sided portal hypertension: report of the first case.

J Surg Case Rep 2021 Feb 11;2021(2):rjab008. Epub 2021 Feb 11.

Clinic for General-, Visceral-, Vascular- and Thoracic Surgery, Ernst von Bergmann Clinic, Potsdam, Germany.

Upper gastrointestinal bleeding from esophagogastric varices is a common scenario, especially in patients with portal hypertension induced by liver cirrhosis or other diseases with thrombosis of the splenic vein. However, accessory spleen as pathophysiological cause of a regional, left-sided portal hypertension and consecutive development of isolated gastric varices is rare. We report a case of recurrent gastric variceal bleeding resulting from sinistral portal hypertension associated with an accessory spleen in a patient who had traumatic splenectomy many decades before. Read More

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February 2021

Acute isolated trigeminal neuropathy following calcium hydroxylapatite-based soft tissue filler injection: A case report.

J Cosmet Dermatol 2021 May 6;20(5):1505-1511. Epub 2021 Feb 6.

Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.

Background: Soft tissue filler injections are frequently performed with a relatively low number of severe adverse events reported. While venous complications have been described, the majority of adverse events are generally associated with the arterial vascular system. Intra-arterial product application can present with pain, skin discoloration, and potential tissue loss and/or injection related visual compromise. Read More

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Right-Sided Infective Endocarditis: The Importance of Vegetation Size.

Heart Lung Circ 2021 May 30;30(5):741-750. Epub 2021 Jan 30.

Department of Cardiothoracic Surgery, St Vincent's Hospital Melbourne, Vic, Australia.

Background: Right-sided infective endocarditis (IE) carries favourable prognosis compared to left-sided IE. However, the prognostic significance of vegetation size in right-sided IE is less well defined. This study reports the clinical, microbiological, and echocardiographic findings associated with right-sided IE and examines the predictors of adverse outcomes. Read More

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Case Report: Filling Defect in Posterior Semicircular Canal on MRI With Balanced Steady-State Gradient-Echo Sequences After Labyrinthine Ischemia in the Common Cochlear Artery Territory as an Early Sign of Fibrosis.

Front Neurol 2020 13;11:608838. Epub 2021 Jan 13.

ENT Unit, Department of Surgery, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.

We describe a rare case of posterior semicircular canal (PSC) fibrosis following acute labyrinthine ischemia in the territory supplied by the common cochlear artery (CCA) and review the relevant literature. A 71-year-old man with multiple vascular risk factors presented 12 days after the onset of acute vertigo and profound left-sided hearing loss. Right-beating spontaneous nystagmus with downbeat components elicited by mastoid vibrations and headshaking was detected. Read More

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January 2021

Evidence that FGFRL1 contributes to congenital diaphragmatic hernia development in humans.

Am J Med Genet A 2021 03 14;185(3):836-840. Epub 2021 Jan 14.

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.

Fibroblast growth factor receptor-like 1 (FGFRL1) encodes a transmembrane protein that is related to fibroblast growth factor receptors but lacks an intercellular tyrosine kinase domain. in vitro studies suggest that FGFRL1 inhibits cell proliferation and promotes cell differentiation and cell adhesion. Mice that lack FGFRL1 die shortly after birth from respiratory distress and have abnormally thin diaphragms whose muscular hypoplasia allows the liver to protrude into the thoracic cavity. Read More

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Case Report: Isolated Central Nervous System Melioidosis from a Non-Endemic Area.

Am J Trop Med Hyg 2021 Jan 11. Epub 2021 Jan 11.

Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

Central nervous system (CNS) melioidosis is a rare neurological infectious disease which carries a high mortality. We describe a previously healthy middle-aged female, who presented to us with left-sided hemiparesis and was on antitubercular therapy from a previous presumed diagnosis of CNS tuberculoma. Non-characteristic imaging picture, multiple negative body fluid cultures, and positive Cerebrospinal fluid galactomannan led to a further delay in diagnosis. Read More

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January 2021

Isolated contralateral abducens palsy in direct carotid-cavernous fistula.

BMJ Case Rep 2020 Dec 21;13(12). Epub 2020 Dec 21.

Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Post-traumatic direct carotid-cavernous fistulas may develop in patients with a closed head injury. The classical presentation is the Dandy's triad-chemosis, pulsatile proptosis and orbital bruit. Associated findings may include orbital pain, dilated episcleral corkscrew vessels, vision deficit and cranial nerve palsies. Read More

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December 2020

High-resolution magnetic resonance imaging in isolated, traumatic oculomotor nerve palsy: A case report.

Radiol Case Rep 2021 Feb 11;16(2):384-388. Epub 2020 Dec 11.

Department of Neuroradiology and Neurology, University Hospital Erlangen, Schwabachanlage 6, 91054 Erlangen, Germany.

Traumatic, isolated oculomotor nerve palsy is a rare clinical finding and only few reports demonstrate associated magnetic resonance imaging (MRI) findings. Here, we present the case of a 70-year-old woman with left-sided oculomotor nerve palsy following a mild head trauma due to an e-bike accident. Post-traumatic cerebral computed tomography revealed punctiform hemorrhage in the left interpeduncular cistern and the following MRI confirmed an intraneural hemorrhage of the left oculomotor nerve. Read More

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February 2021

Isolated right subclavian artery in a left aortic arch with ventricular septal defect.

Ayed A Shati

Cardiol Young 2021 Apr 16;31(4):669-670. Epub 2020 Dec 16.

Department of Child Health, College of Medicine, King Khalid University, Abha, Saudi Arabia.

Isolated origin of the subclavian artery is a congenital anomaly of the aortic arch in which one subclavian artery is attached to the ipsilateral pulmonary artery through ligamentous arteriosus. An isolated right subclavian artery with the left-sided aortic arch is an extremely rare condition. We report on an asymptomatic 2-year-old-girl, who was referred because of an incidental cardiac a murmur. Read More

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Laparoscopic Salpingectomy for an Isolated Case of Left Fallopian Tube Torsion in a Premenarcheal 13 years old.

Gynecol Minim Invasive Ther 2020 Oct-Dec;9(4):245-247. Epub 2020 Oct 15.

Department of Obstetrics and Gynecology, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India.

Isolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Read More

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October 2020

Isolated Native Tricuspid Valve Endocarditis in a Nonintravenous Drug User.

Case Rep Cardiol 2020 22;2020:8812597. Epub 2020 Nov 22.

Department of Internal Medicine, GAMBY Teaching General Hospital, Bahir Dar, Ethiopia.

Infective endocarditis (IE) is a disease characterized by high morbidity and mortality. IE was first described in the mid-16th century. Right-sided infective endocarditis (RSIE) represents 5% to 10% of all IE episodes in adults. Read More

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November 2020

Abducens Nerve Paralysis Induced by a Primary Solitary Sphenoid Sinus Mucocele with Broad Osseous Thinning at the Cranial Base.

Case Rep Otolaryngol 2020 30;2020:8897868. Epub 2020 Sep 30.

Department of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine, Tokyo 181-8611, Japan.

Primary solitary sphenoid sinus mucocele is rare, generally presenting with headaches or eye symptoms at the anatomical site. We report the case of a 39-year-old woman incidentally diagnosed with sphenoid sinus mucocele during a complete medical checkup. Imaging revealed that the cystic wall had developed from the rear sphenoid sinus and had spread expansively to diminish the clivus; however, no symptoms were reported, and the patient was managed with close observation. Read More

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September 2020

Diagnostic utility of sub-maximum cardiopulmonary exercise testing in the ambulatory setting for heart failure with preserved ejection fraction.

Pulm Circ 2020 Oct-Dec;10(4):2045894020972273. Epub 2020 Nov 25.

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT, USA.

Pulmonary hypertension is commonly associated with heart failure with preserved ejection fraction. In heart failure with preserved ejection fraction, the elevated left-sided filling pressures result in isolated post-capillary pulmonary hypertension or combined pre- and post-capillary pulmonary hypertension. Although right heart catheterization is the gold standard for diagnosis, it is an invasive test with associated risks. Read More

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November 2020

An interesting case of temporal arteritis that manifested as ptosis and diplopia.

Oxf Med Case Reports 2020 Nov 24;2020(11):omaa099. Epub 2020 Nov 24.

Internal Medicine, Dow Medical College, Karachi 74200, Pakistan.

Giant cell arteritis (GCA) or temporal arteritis is a granulomatous vasculitis that affects medium-to-large vessels seen primarily in older Caucasian populations. Here, we describe a 67-year-old male who presented with atypical symptoms of worsening headaches associated with left-sided pupil-sparing, isolated third nerve palsy, blurry vision, diplopia and myalgias in bilateral extremities. He was immediately started on intravenous Methylprednisolone for suspected GCA. Read More

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November 2020

Duplication of the inferior vena cava: evidence of a novel type IV.

Folia Med Cracov 2020 09;60(2):5-13

Department of Pathology, Anatomy, and Laboratory Medicine (PALM), West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown, West Virginia, USA.

Anatomical variations of the inferior vena cava, including the double inferior vena cava or isolated left inferior vena cava, are uncommon and of great clinical importance. Inferior vena cava variations signify predisposition to deep vein thrombosis and may complicate retroperitoneal surgeries including abdominal aortic surgery. Failure to recognize such variations may predispose a patient to life- threatening complications. Read More

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September 2020

Proteus empyema as a rare complication from an infected renal cyst, a case report.

BMC Pulm Med 2020 Nov 27;20(1):314. Epub 2020 Nov 27.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Virginia, Charlottesville, VA, USA.

Background: The most commonly isolated organisms in a parapneumonic effusion include S. pneumoniae, H. influenzae, and S. Read More

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November 2020

Social buffering of cortisol release and tympanic temperature asymmetries during novelty and isolation stress in marmoset monkeys.

Brain Res 2021 01 6;1751:147198. Epub 2020 Nov 6.

Department of Pharmacy, School of Health Sciences, University of Brasilia, Brasilia 70910-900, Brazil; Primate Center, Institute of Biology, University of Brasilia, Brasilia, Brazil. Electronic address:

Novel environments induce a conflicting emotional approach-withdrawal state that triggers stress-related reactions. Social support through the presence of a highly familiar conspecific buffers the individual against such challenges. Although aversive events seem to be predominantly processed by the right hemisphere, this is still under debate and little is known about functional cerebral asymmetries in nonhuman primates during novelty stress, isolation and social buffering. Read More

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January 2021

New diagnostic approach of the different types of isolated craniosynostosis.

Eur J Pediatr 2021 Apr 5;180(4):1211-1217. Epub 2020 Nov 5.

Department of Plastic and Reconstructive Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.

In this study, we diagnose skull shape deformities by analysing sinusoid curves obtained from standardized computed tomography (CT) slices of the skull for the common craniosynostoses (scaphocephaly, brachycephaly, trigonocephaly, right- and left-sided anterior plagiocephaly). Scaphocephaly has a high forehead peak and low troughs, in contrast to brachycephaly. Anterior plagiocephaly has asymmetry and shifting of the forehead peak. Read More

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Isolation of arch vessels: Imaging characteristics and associations on multidetector computed tomography angiography.

J Card Surg 2020 Oct 14. Epub 2020 Oct 14.

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

Aim: To evaluate the imaging characteristics and associations in patients with isolation of arch vessels on multidetector computed tomography angiography (CTA).

Materials And Methods: We retrospectively reviewed all multidetector CTA studies performed for the evaluation of congenital heart diseases (CHDs) at our institution from January 2014 to June 2020. Cases with isolation of arch vessels were identified. Read More

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October 2020